Regional Tehhniques Flashcards
Shoulder
Glenohumeral joint
- capsulitis arthritis
- Kenalog - 40mg
- Lidocaine - 1% 3ml
- total volume - 4ml
- syringe - 5ml
- Needle green 21G 1,5 or 2”
Shoulder
Cronic subdeltoid bursitis
- Kenalog - 40mg
- Lidocaine - 0,5% or 1% 6ml
- total volume - 7ml
- syringe - 10ml
- Needle - green 21G 1,5 or 2”
Shoulder
Acute subdeltoid bursitis
Kenalog - 40mg
Lidocaine1% - 2ml
total volume - 3ml
syringe - 5ml
Needle - green 21G 1,5”
Acromioclavicular joint
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume - 1ml
syringe - 2ml
Needle - orange 25G 5/8”
Supraspinatus tendon insertion
Try subacromial injection first
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume -1ml
syringe - 2ml
Needle - orange 25G 5/8”
Infraspinatus tendon insertion
Try subacromial injection first
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume -1ml
syringe - 2ml
Needle - blue 23 1”
Subscapularis tendon insertion
Try subacromial injection first
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume -1ml
syringe - 2ml
Needle - blue 23G 1”
Biceps caput longum tendon
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume - 1ml
syringe - 1ml
Needle - blue 23G 1-1 1/4”
Elbow joint
- arthritis -degenerative, traumatic or inflammatory
Kenalog - 20mg
Lidocaine 1% - 2,5ml
total volume - 3ml
syringe - 5ml
Needle - orange 25Gx5/8”
Tennis elbow
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume - 1ml
syringe - 1ml
Needle - orange 25Gx5/8”
Golfers elbow
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume - 1ml
syringe - 1ml
Needle - orange 25Gx5/8” or blue 23Gx 1”
Biceps tendon insertion
Kenalog - 20mg
Lidocaine 1% - 0,5ml
total volume - 1ml
syringe - 1ml
Needle - blue 23Gx1”
Inferior radio-ulnar joint
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume - 1ml
syringe - 1ml
Needle - orange 25G 5/8” or blue 23Gx1”
wrist joint
Kenalog - 20mg
Lidocaine 1% - 2,5ml
total volume - 3ml
syringe - 5ml
Needle - orange25Gx5/8 or blue 23Gx1”
trapezio-first metacarpal joint
thumb
Kenalog - 10mg
Lidocaine 1% - 0,25ml
total volume - 0,5ml
syringe - 2ml
Needle - orange 25Gx 1/8”
finger-joints
Kenalog - 5-10mg
Lidocaine 1% - 0,25ml
total volume - 0,5-0,7ml
syringe - 1ml
Needle - orange 25Gx5/8”
Wrist collateral ligaments
Ligamentous sprain, due to overuse or single traumatic incident
Kenalog - 10mg
Lidocaine 1% - 0.25ml
total volume - 0,5ml
syringe - 1ml
Needle - orange 25Gx5/8”
Carpal tunnel
Kenalog - 20mg
Lidocaine -
total volume - 0.5ml
syringe - 2ml
Needle - blue 23Gx1 or 1 1/4
Trigger finger/thumb
Kenalog - 10mg
Lidocaine 1% - 0,25ml
total volume - 0,5ml
syringe - 2ml
Needle - orange 25gx5/8”
De quervains tenosynovitis
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume - 1ml
syringe - 2ml
Needle - orange 25G 5/8”
Ankle joint
Kenalog - 20mg
Lidocaine 1% - 2,5
total volume - 3ml
syringe - 5ml
Needle - blue 23Gx1” or green 21G 1,5-2”
Subtalar joint
Kenalog - 10-20mg
Lidocaine 1% - 1,75ml
total volume - 2-2,25ml
syringe - 2 or 5ml
Needle - blue 23Gx1” or orange 25Gx1”
1ml each compartment
Mid-tarsal (transverse tarsal) joint
Kenalog - 10mg
Lidocaine 1% - 1,25ml
total volume - 1,5ml
syringe - 2ml
Needle - orange 25Gx5/8”
Note n. and a. lateral to ext hal long.
- metatarsophalangeal joint
Kenalog - 10mg
Lidocaine 1% - 0,25ml
total volume - 0,5ml
syringe - 1ml
Needle - orange 25Gx5/8”
toe joints
Kenalog - 10mg
Lidocaine 1% - 0,25ml
total volume - 0,5ml
syringe - 2ml
Needle - orange 25Gx5/8
retrocalcaneal bursa
Kenalog - 10mg
Lidocaine 1% - 0,5ml
total volume - 0,75ml
syringe - 1ml
Needle - blue 23Gx1”
Plantar fascia
Kenalog - 20mg
Lidocaine 1% - 1ml
total volume - 1,5ml
syringe - 2ml
Needle - green 21G 1,5 or 2”
peroneal tendons
Kenalog - 10mg
Lidocaine 1% - 0,75ml
total volume - 1ml
syringe - 1ml
Needle - teno-osseus junction orange 25G 5/8” tendons in sheath blue 23Gx1 1/4”
achilles tendon
Kenalog - 20mg
Lidocaine 1% - 1,5ml
total volume - 2ml
syringe - 2ml
Needle - green 21Gx1,5”
knee joint
Kenalog - 40mg
Lidocaine 1% - 3ml
total volume - 4ml
syringe - 5ml
Needle - green 21G 1,5”
infrapatellar tendon
Kenalog - 20mg
Lidocaine 1% - 1ml
total volume - 1,5ml
syringe - 2ml
Needle - blue 23Gx1”
suprapatellar tendon
Kenalog - 20mg
Lidocaine 1% - 1ml
total volume - 1,5ml
syringe - 2ml
Needle - blue 23Gx1”
hip joint
Kenalog - 40mg
Lidocaine 1% - 4ml
total volume - 5ml
syringe - 5ml
Needle - spinal 20Gx3,5”
trochanteric bursa
Kenalog - 20-40mg
Lidocaine 1% - 2,5-4,5ml
total volume - 3-5ml
syringe - 5-6ml
Needle - Green 21G x1,5-2”
Hamstring origin
Kenalog - 20mg
Lidocaine 1% - 1ml
total volume - 1,5ml
syringe - 2ml
Needle - blue 23G x1” or larger
adductor longus origin
Kenalog - 20mg
Lidocaine 1% - 1ml
total volume - 1,5ml
syringe - 2ml
Needle - blue 23G x 1 1/4”
40mg Kenalog
- Shoulder GH, total 4ml
- Shoulder cronic subdelt bursa, total 6ml
- Shoulder acute subdelt bursa, total 3ml
- Knee joint, total 4ml
- Hip joint, total 5ml
- Trochanteric bursa 20-40mg 2,5-4,5ml
20mg Kenalog
- Elbow joint, total 3ml
- Biceps tendon, total 1ml
- wrist joint, total 3ml
- carpal tunnel, total 0,5ml
- ankle joint, total 3ml
- plantar fascia, total 1,5 ml
- achilles tendon, total 2ml
- infrapatellar tendon 1,5ml
- suprapatellar tendon, total 1,5ml
- hamstring origin, total 1,5ml
- Add long. origin, total 1,5ml
- subtalar joint 10-20mg, total 2-2,25ml